Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2016
NPI: 1477917177
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
12121 SANTA MONICA BLVD
LOS ANGELES, CA 900252515
3108260821
Source: CMS National Downloadable File, September 2026.